Provider Demographics
| NPI: | 1790076776 |
|---|---|
| Name: | THERAPY WORKS |
| Entity type: | Organization |
| Organization Name: | THERAPY WORKS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | SPEECH LANGUAGE THERAPIST ASSISTANT |
| Authorized Official - Prefix: | MISS |
| Authorized Official - First Name: | JENNIFER |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ORTIZ |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | SLP ASSISTANT |
| Authorized Official - Phone: | 787-344-3323 |
| Mailing Address - Street 1: | 7100 N 7TH ST |
| Mailing Address - Street 2: | APT #D |
| Mailing Address - City: | MCALLEN |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78504-2041 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 787-344-3323 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1011 W FRONTAGE RD # SPAJ |
| Practice Address - Street 2: | |
| Practice Address - City: | ALAMO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78516-2300 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 956-787-6777 |
| Practice Address - Fax: | 956-787-6778 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2011-04-26 |
| Last Update Date: | 2011-04-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | 35805 | 261QM1300X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |